| NPI | 1265818363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGWON CHOI General Dentist/Clinic Owner 571-234-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411171) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |