| NPI | 1376889972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQSOOD A CHAUDHRY Owner 703-533-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |