| NPI | 1053106740 |
|---|---|
| Doing Business As | FAIRFAX DENTAL AND COSMETICS |
| Entity Type | Organization |
| Authorized Contact | MAZIN ALAYSSAMI Dentist 703-850-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-04-12 |