| NPI | 1750479697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK MOHAMMAD MOGHARBEL Owner 703-807-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411296) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |