| NPI | 1346651510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJGAN SHAAFI President 703-273-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401007695) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |