NPI | 1245531805 |
---|---|
Entity Type | Organization |
Authorized Contact | MALA ANN BRITTO Pediatric Dentist 703-670-1991 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410545) |
Enumeration Date | 2010-11-12 |
Last Update Date | 2010-11-12 |