| NPI | 1386838597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEHZAD M SHEIKH Owner 703-430-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411473) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |