| NPI | 1366822827 |
|---|---|
| Doing Business As | AESTHETIC DENTISTRY OF FAIRFAX |
| Entity Type | Organization |
| Authorized Contact | MOSTAFA ABOULKHAIR President/Owner 703-218-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411899) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2016-10-18 |