| NPI | 1629812557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHA AZIMAIE President/Owner 301-747-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |