| NPI | 1093166837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ALMZAYYEN President 540-479-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413310) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |