| NPI | 1063757466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY FARID Office Manager 703-671-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412302) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |