| NPI | 1568852259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE RAHIMI Office Manager 301-972-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12061) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-04-25 |