| NPI | 1316966526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KENNETH WHITE President 703-751-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006529) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |