| 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 |