| NPI | 1336691450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK SY MAJIDI CEO 240-418-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000816) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |