| NPI | 1033508148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. KHALIL Owner 703-255-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413652) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |