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 |