| NPI | 1265578413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW EDWARD BLUHM President 703-729-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0401007764) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-01-25 |