| NPI | 1861672370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAM ESTWANI President 703-955-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 401410091) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |