| 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 |