| NPI | 1639346182 |
|---|---|
| Other Name | DR RICARDO M GAITAN DDS/PC |
| Entity Type | Organization |
| Authorized Contact | RICARDO MOISES GAITAN General Dentist 703-206-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401008771) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |