| NPI | 1639933948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSHRA SOPHIA IRAVANI Dental Anesthesiologist 240-751-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2026-01-14 |