| NPI | 1609977362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD -- RAY President 703-858-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007575) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |