| NPI | 1073654133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDANA GOODARZI LOGMANNI President 301-869-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 13266) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2019-04-23 |