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 |