| NPI | 1669843082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LANI AUSTIN Pediatric Dentist/Owner 202-257-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401411222) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |