| NPI | 1679727275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEHREEM BUTT Dentist 703-273-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411341) |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2008-11-09 |