| NPI | 1700460409 |
|---|---|
| Doing Business As | ELITEORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | AMMAR AL-MAHDI President 703-534-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-05-09 |