| NPI | 1518268861 |
|---|---|
| Doing Business As | FAIRFAX PROSTHODONTICS & DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PHILIP I KOH President/Primary Dentist 703-865-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411961) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |