| NPI | 1194950634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOROUGH P YAZDANI Owner 703-938-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410415) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |