| NPI | 1891813648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER TSAKNIS Dentist 703-724-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410221) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |