NPI | 1174873764 |
---|---|
Entity Type | Organization |
Authorized Contact | PADMAJA YALAMANCHILI President 703-386-6269 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411072) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |