| NPI | 1013306893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADREZA NABAVI Doctor/Owner 301-221-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14871) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |