| NPI | 1912178815 |
|---|---|
| Doing Business As | CHANTILLY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HAN SOH President 703-961-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410388) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |