| NPI | 1194911040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA NESHAT Owner/Doctor 703-437-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410727) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |