NPI | 1902346687 |
---|---|
Doing Business As | CENTER FOR DENTOFACIAL AESTHETICS |
Entity Type | Organization |
Authorized Contact | LORRIE LYNCH Dental Office Manager 703-256-2556 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413960) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |