| NPI | 1538351234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TAHERI Dentist/Owner 202-528-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410248) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |