| NPI | 1578934196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQSOOD A CHAUDHRY CEO 703-578-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007713) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401414938) |
| 1223P0300X Dentist, Periodontics (Licence: VA 0401414676) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |