| NPI | 1902207327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H KIM Dentist / Partner 703-723-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413573) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |