| NPI | 1538740154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID MEHDIPOUR Owner Orthodontist 202-758-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |