| NPI | 1811175698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH UYEN LE Dentist 703-534-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410718) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |