NPI | 1528232428 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE L. MAI President 703-971-9737 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008744) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |