NPI | 1972799922 |
---|---|
Other Name | HERNDON FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELHAM SAFARI Owner 703-787-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410994) |
Enumeration Date | 2007-09-23 |
Last Update Date | 2008-06-27 |