| NPI | 1265802912 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AHMED ELGHOBASHI President 703-451-1656  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN BE9051157)  | 
| Enumeration Date | 2015-10-06 | 
| Last Update Date | 2015-10-06 |