| NPI | 1609498724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QING XU Owner Dentist 703-623-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |