| NPI | 1801282314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG QUOC CHAU LU President/Orthodontist 703-626-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412785) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |