| NPI | 1558761551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIR P URTEAAGA Co Founder 703-623-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412624) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-04-07 |