| 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 |