| NPI | 1295151579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIUMARS KARBASI Owner 571-335-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401414080) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |