| NPI | 1154996353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN GARAI Business Owner 703-214-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-07-11 |