| NPI | 1144656422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY NGUYEN President 703-763-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 13377) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |