| NPI | 1619486057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRZAD SALARTASH Dds 703-745-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |