| NPI | 1306202684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT VERMA Endodontist 703-815-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401413728) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: VA 0401414938) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |