| NPI | 1598144933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MONSALVE President/Owner 703-481-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401411273) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-03-07 |