| NPI | 1760067011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH KATHLEEN DUCHATELLIER-CANGE Dentist/Owner 703-376-8271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |