| NPI | 1487916656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TAHERI Owner 703-583-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410248) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |