| NPI | 1689747412 |
|---|---|
| Former Legal Business Name | IDEAL DENTAL SOLUTION |
| Entity Type | Organization |
| Authorized Contact | MEHDI S ADILI Owner Prosthodontics 703-442-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |