| NPI | 1669888483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA T TRAN President 703-462-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410663) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |