| NPI | 1629180138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANGUS MCDONALD Owner Of Pc 703-751-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401002256) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |