| NPI | 1720858061 |
|---|---|
| Doing Business As | INNOVA PROSTHODONTICS & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIAS REATEGUI Office Manager 703-933-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |