| NPI | 1316690985 |
|---|---|
| Doing Business As | HERNDON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINA JAMEEL Dentist 703-609-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |