| NPI | 1750909651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAR AZAD Dr/Owner 301-845-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-02-25 |