| NPI | 1568618429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S ACKERMAN Owner 703-759-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401004044) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |