| NPI | 1336379007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMTHA BROTHERTON President 703-212-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410499) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |