| NPI | 1457768590 |
|---|---|
| Doing Business As | ALEXANDRIA DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | KATIE JOANY LOPEZ Owner 571-224-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412205) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |