NPI | 1639640303 |
---|---|
Doing Business As | FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | LOUIS B KALOMBO Owner 703-282-8347 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-12-06 |
Last Update Date | 2018-12-06 |