NPI | 1275836025 |
---|---|
Entity Type | Organization |
Authorized Contact | FARHAD HAKIM Owner 703-955-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410285) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2010-12-17 |