| NPI | 1689910556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQSOOD A CHAUDHRY Owner 703-578-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401007713) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401412357) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401413405) | |
| 1223P0300X Dentist, Periodontics (Licence: VA 0401413657) | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |