| NPI | 1356617773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YODIT BEYENE Owner 703-751-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 041411010) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |