| NPI | 1881454643 |
|---|---|
| Doing Business As | CANNON BRANCH DENTAL OF MANASSAS |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD KASHIF Owner 703-386-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |