NPI | 1750669883 |
---|---|
Doing Business As | DYNAMIC FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | FARIDA G KHATTAK Owner/Dentist 703-531-0010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412386) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2011-07-22 |