| NPI | 1437565595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA EDELBI General Dentist 703-867-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401414014) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |