| NPI | 1801278726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERNESTO CHAVEZ President 703-260-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413560) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |