| 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 |