| NPI | 1861936999 |
|---|---|
| Doing Business As | DENTISTRY OF ALEXANDRIA |
| Entity Type | Organization |
| Authorized Contact | GINA PARK Office Manager 571-257-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410948) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |