| NPI | 1215224944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQSOOD CHAUDHRY Owner 703-430-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401007713) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413051) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |