| NPI | 1760804389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH SHOJAEI Owner 703-812-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |