| NPI | 1427550318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY-VAN NGUYEN President 571-338-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415827) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |