| NPI | 1871921528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE T NGUYEN President 571-263-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401007759) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |