NPI | 1790001980 |
---|---|
Entity Type | Organization |
Authorized Contact | OKSANA ELARINY Dentist 703-465-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401411888) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-13 |