| 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 |