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 |