| NPI | 1528222171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAHANA NARANJO Office Manager 703-777-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410996) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-03-13 |