| NPI | 1831526995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY TRINH Director 703-449-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: VA 0401413939) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2025-03-24 |