| NPI | 1255592978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA N. TRUONG Dentist 703-333-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410147) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |