| NPI | 1609398726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TRAN Office Manager 703-231-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412694) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |