| NPI | 1548493885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEHYAR Owner 703-764-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411034) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |