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 |