| NPI | 1326294505 |
|---|---|
| Other Name | DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | BEHZAD MIRDAMADI Owner 301-963-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 9867) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |