| NPI | 1952907842 |
|---|---|
| Doing Business As | MOMENTUM DENTAL |
| Entity Type | Organization |
| Authorized Contact | GELLY RIVAS OSORIO Operations Manager 703-589-7040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-02-17 |