NPI | 1366111080 |
---|---|
Doing Business As | YOUR FAMILY DENTIST |
Entity Type | Organization |
Authorized Contact | NGOC BAO NGUYEN Owner Dentist 703-973-4120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-09-07 |
Last Update Date | 2021-09-07 |