NPI | 1578721601 |
---|---|
Other Name | MERRIFIELD DENTAL |
Entity Type | Organization |
Authorized Contact | JERRY CHONGMIN KIM Dentist/Practice Owner 703-876-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007221) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-05-27 |