NPI | 1174821003 |
---|---|
Doing Business As | LOUDOUN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVE J LAN President 703-771-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2011-03-01 |
Last Update Date | 2020-08-07 |