| NPI | 1225264302 |
|---|---|
| Former Legal Business Name | WELLINGTON DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BORARATH MAK YANN Owner 703-330-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410448) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |