| NPI | 1598146318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIB SALIM ALI Managing Doctor 703-669-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401412553) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |