| NPI | 1508226358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHEED ALMUDHAFAR Dentist 703-231-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414058) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |