| NPI | 1427375591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HICHAM MEKOUAR President 703-347-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13390) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2015-07-31 |