| NPI | 1134287014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAN-YEN-PHONG NGUYEN Director 703-536-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401008604) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |