| NPI | 1295343739 | 
|---|---|
| Doing Business As | MY WOODBRIDGE DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN JAMES SALINAS Owner/ President 202-230-2579 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2020-07-21 | 
| Last Update Date | 2020-07-30 |