| NPI | 1053016303 |
|---|---|
| Doing Business As | REVIVE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | YAS SALEEM Dentist 703-978-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |