| NPI | 1588098354 |
|---|---|
| Doing Business As | FAIRFAX DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALIKO MWAISELA Business Manager 703-273-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410745) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |