| NPI | 1770706996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKARS V. LANS Owner 703-729-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005196) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |