NPI | 1295374734 |
---|---|
Other Name | AGLOW DENTAL PLLC |
Entity Type | Organization |
Authorized Contact | ROSEMARY AHANOR Owner 703-651-6130 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-02-02 |