NPI | 1023510575 |
---|---|
Former Legal Business Name | FARAH ASSADIPOUR, DMD |
Entity Type | Organization |
Authorized Contact | FARAH ASSADIPOUR Owner 301-984-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 15275) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2018-03-17 |