NPI | 1487054128 |
---|---|
Doing Business As | LANDMARK SMILE DDS PC |
Entity Type | Organization |
Authorized Contact | DAN D ASHOURIPOUR President 703-625-6800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: VA 7312) |
Enumeration Date | 2014-08-31 |
Last Update Date | 2014-08-31 |