NPI | 1811340599 |
---|---|
Doing Business As | MANASSAS DENTAL SMILES |
Entity Type | Organization |
Authorized Contact | MALIK USMAN Dentist, President 774-208-4431 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413042) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |