NPI | 1205338118 |
---|---|
Doing Business As | DESIRED DENTAL |
Entity Type | Organization |
Authorized Contact | ASSEFA DEMEWOZ Owner 703-348-6969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413725) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |