| NPI | 1306009550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASAN MOGHADDAME-JAFARI President 301-984-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 13190) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |