| NPI | 1841481215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D DANIELS Owner/Dentist 703-528-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410131) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |