| NPI | 1558692798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESS RAHIM Dentist/Owner 703-582-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411135) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |