| NPI | 1154871713 |
|---|---|
| Doing Business As | NORTHERN VIRGINIA DENTAL ARTS - STAFFORD |
| Entity Type | Organization |
| Authorized Contact | JOSEPH KERNER Director 703-629-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |