| NPI | 1861910283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMTHA BROTHERTON President 703-593-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD4453) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |