NPI | 1679631980 |
---|---|
Entity Type | Organization |
Authorized Contact | NADER REZVANI President 202-457-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN4636) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008527) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |