| NPI | 1376886564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI PASHAPOUR President 703-566-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411854) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |