| NPI | 1356783583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE PHILIP JOHNSON President 703-437-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006144) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |