| NPI | 1386875003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STANLEY Office Manager 703-369-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401008767) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |