| NPI | 1205496726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA RAJAEI Owner 301-438-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |