NPI | 1235560350 |
---|---|
Entity Type | Organization |
Authorized Contact | SIAMAK SY MAJIDI Owner 240-418-6103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DC DEN1000816) |
Enumeration Date | 2013-11-30 |
Last Update Date | 2013-11-30 |