| NPI | 1942942123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRA RAHIMI Office Manager 202-296-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |