| NPI | 1730391723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIROUZEH ABBASSI Office Manager 703-471-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007323) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-01-08 |