| NPI | 1811683667 |
|---|---|
| Doing Business As | LAKE MANASSAS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | YOUNG KIM Owner 571-261-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |