| NPI | 1144483199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR SOYFER Manager 703-359-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410407) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |