| NPI | 1528418951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA TEKLE Owner 703-820-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412271) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |