| NPI | 1093881815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZILA GANJI President 703-793-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008823) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |