| NPI | 1942199765 |
|---|---|
| Doing Business As | POTOMAC PERIODONTICS AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAHRAM VAZIRI Owner/President 619-717-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |