| NPI | 1609290428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON JORGE AGUILAR-GARCIA Dentist/Owner 703-879-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413183) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |