| NPI | 1720279961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARZBAN Vice President 703-356-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |