| NPI | 1184055501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANAZ HAMRAH Office Manager 703-288-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0438000250) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |