| NPI | 1194862169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMIR SAEID AHMADIYAR Office Manager 540-657-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: VA 0401008083) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-07-21 |