| NPI | 1164820122 |
|---|---|
| Doing Business As | ASHBURN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON NIKKHAH Dentist 703-459-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414653) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |