| NPI | 1770617433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R FRENCH Dentist 703-430-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006035) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |