| NPI | 1881348951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA AL-KARAGHOLI Owner 703-204-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |