| NPI | 1093048654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA Y KERMANSHI Orthodontist 703-861-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410638) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |