| NPI | 1932538253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAY DIMITROV MOLLOV Vice President 703-436-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413531) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2014-01-10 |