| NPI | 1285813857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROUBEN A YEDIGARIAN D.D.S. 703-821-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401005564) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 401005564) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-07-22 |