| NPI | 1437426509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINA KIM Office Manager 703-583-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 10073) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |