NPI | 1124693882 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN NELSON Orthodontist 703-260-7895 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |