| NPI | 1821434127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI TRAN Dentist 703-658-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412117) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |