| NPI | 1265652705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. WELDON BROWN Dentist 703-938-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401003815) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |