| NPI | 1336642388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM ESSAM A MERDAD Owner CEO 857-654-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414352) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |