NPI | 1902477482 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE H BAHNG President 703-444-4188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |