| NPI | 1639405558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY S ACKERMAN Owner/ Dentist 703-931-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 401004044) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: VA 0401007743) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2011-01-13 |