| NPI | 1740055680 |
|---|---|
| Doing Business As | THE TOOTH DOC |
| Entity Type | Organization |
| Authorized Contact | AFSANEH S SHAHIDI Owner 703-483-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |