| NPI | 1790185809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYA KASSAM Owner 202-529-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001355) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |