| NPI | 1255621702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HA DOAN THI UNG Dentist/Owner 301-330-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13213) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2011-04-17 |