| NPI | 1487075321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM AVIN Dentist 703-444-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410065) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |