| NPI | 1922252410 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMISHA N SHROFF President 703-533-0395  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411963)  | 
| Enumeration Date | 2008-11-10 | 
| Last Update Date | 2008-11-10 |