| NPI | 1316283930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTIAN PFOHL Owner 703-430-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401007512) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |