| NPI | 1427570829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA KAZMI Partner In Practice 703-346-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413449) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |