| NPI | 1841464047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYEN T DAO Dentist 703-204-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410266) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |