| NPI | 1982197992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR AL-MAHDI Orthodontist/President 571-426-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415218) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |