| NPI | 1518330133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYEN NGOC DANG President 703-389-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410698) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412564) |
| 261QD0000X Clinic/Center, Dental (Licence: VA 0401414108) | |
| 261QD0000X Clinic/Center, Dental (Licence: VA 0401006304) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |