| NPI | 1720230865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA M ENRIQUEZ Owner 703-378-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008941) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-10-22 |