| NPI | 1639603459 |
|---|---|
| Doing Business As | BREEZE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KOUROS HEDAYATI Owner/Dentist 571-225-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412201) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |