NPI | 1700212511 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMER JARWA Dentist 703-870-7784 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412081) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2013-09-25 |