| NPI | 1831564392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KLIOZE Dentist Owner 703-323-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007694) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |