| NPI | 1720624307 |
|---|---|
| Doing Business As | GENERAL DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEENA HADITHI President 703-644-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |