NPI | 1942660873 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD THE NGO Owner/ Doctor 703-865-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411836) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414383) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |