NPI | 1912919663 |
---|---|
Other Name | FAIR CITY MALL DENTAL |
Entity Type | Organization |
Authorized Contact | TRUNG QUI LE President 703-978-3541 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410629) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-08-22 |