| NPI | 1902654882 |
|---|---|
| Former Legal Business Name | INOVA DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAHNAZ JAFARI Dentist 703-554-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |