NPI | 1023583051 |
---|---|
Doing Business As | RIVERSIDE DENTAL FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SAMEH M KASSEM Owner 703-729-7447 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-22 |