| NPI | 1477969798 |
|---|---|
| Doing Business As | NORTHERN VA AFFINITY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | IRAMA LORENA FORBES Owner 703-256-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401412668) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |