| NPI | 1467617373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA GOSWAMI Member 703-586-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410429) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |