| NPI | 1437438918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG W LEE President 703-914-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401412418) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 401412543) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |