| NPI | 1487843884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI M THARIANI President 703-527-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA VA7720) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |