| NPI | 1013342161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASIM QURESHI President 571-291-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401413931) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2023-10-23 |