NPI | 1841627114 |
---|---|
Entity Type | Organization |
Authorized Contact | DIPA PATEL Owner 703-566-1908 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 401413134) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |