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 |