| NPI | 1265840938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEPREETHI GNANASUNDARAM Dentist 571-222-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412993) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |