| NPI | 1558487413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM NASELRI Dentist 301-548-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11656) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-03-17 |