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 |