| NPI | 1407149271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI M. DAVIS President 703-587-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7533) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |