| NPI | 1700079373 |
|---|---|
| Other Name | RYAN PARK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ESTELA PENA Owner 703-729-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410933) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |