NPI | 1962787853 |
---|---|
Doing Business As | ELDEN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BABAK ROBERT MEER President 703-657-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412049) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2018-07-13 |