| NPI | 1871990077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE KEAT Dentist/Owner 703-212-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401005912) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |