| NPI | 1144903956 |
|---|---|
| Doing Business As | WATERMAN BLVD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FANA ARAGAW President 703-785-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |