| NPI | 1215956859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE T NGUYEN President/CEO 703-847-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401007759) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |