| 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 |