| NPI | 1275926065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA VERA-LOPEZ DDS Owner 703-626-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413216) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |