Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 7522 | VA |
NPI | 1245310747 |
---|---|
Provider Name | Mrs. Mehdi S Adili |
First Address | Mclean, VA 22103 |
Second Address | Mclean, VA 22102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 18/06/2015 |