| NPI | 1861938789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEBANI PAHWA President/Owner 301-910-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1001562) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2019-11-19 |