| NPI | 1265487151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER KYUNG-LAE LEE Owner Attending Doctor 703-961-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008865) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |