| NPI | 1962903864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD M ROUHANIAN Owner/President/Dentist 301-527-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14130) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-08-07 |