| NPI | 1801029590 |
|---|---|
| Doing Business As | BRITESTARS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GINA C PHAM Pediatric Dentist 703-490-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401411775) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2022-02-08 |