| NPI | 1194973057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI NAIK Dentist 703-288-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401410113) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |