| NPI | 1144769639 |
|---|---|
| Doing Business As | SAMUEL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EVELYN SAMUEL Dentist 571-297-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413391) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |