| NPI | 1790932507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADUEKE ETHELBERTH EKOH Owner/Orthodontist 703-753-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401411793) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |