NPI | 1952491474 |
---|---|
Entity Type | Organization |
Authorized Contact | ALI R AGHAEE Tresurer 703-404-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008321) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008108) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-11-25 |