| NPI | 1235567371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN MOVAHHEDIAN Orthodontist 240-421-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2021-04-03 |