| NPI | 1639133291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN A CRANDALL Pediatric Dentist 703-368-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 7179) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |