| NPI | 1235682790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGDAE KIM President/Dentist 703-988-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401415145) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |