| NPI | 1457608986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH QIU Dentist/President 703-318-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401102428) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |