| NPI | 1760643910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RICARDO RIOS President 703-858-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008601) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |