| NPI | 1144548447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN GARRETT Office Manager 703-777-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401006833) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |