| NPI | 1891453718 |
|---|---|
| Doing Business As | MOMENT DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRUNG PHAN Owner 703-608-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-11-23 |