| NPI | 1740690528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANDINI MALGHAN Dentist 703-368-5595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411063) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |