| NPI | 1861683666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER KWATRA Dentist 703-583-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410643) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |