| NPI | 1922272962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEAR M TADROS Owner 703-430-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401410964) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |