| NPI | 1447317516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYNH-TRANG NGUYEN Owner 703-768-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401410204) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: VA 0401410205) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |