| NPI | 1760828297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOOSHIN MONAJEMY Owner 540-447-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410184) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |