NPI | 1366864480 |
---|---|
Doing Business As | FAIRFAX DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JUNG SOO PAK Director 703-691-9740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-08 |