NPI | 1275292286 |
---|---|
Doing Business As | DENTAL EXCELLENCE INTEGRATIVE CENTER |
Entity Type | Organization |
Authorized Contact | JOONGSEO KIM Owner 703-587-4865 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-12-17 |
Last Update Date | 2022-02-06 |