| NPI | 1396125001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYAD ALBARQ President 703-953-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412035) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |