| NPI | 1487834727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISH BANAJI President/Owner 703-849-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410311) |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2007-11-03 |