| NPI | 1598594319 |
|---|---|
| Doing Business As | HERNDON DENTAL DESIGN |
| Entity Type | Organization |
| Authorized Contact | JAE CHONG President 703-989-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |