| NPI | 1912415647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUYET-MAI THI PHAN President 703-522-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA VA7134) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |