| NPI | 1588843452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G TAMI Lead Periodontist 703-491-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MD 4716) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |