| NPI | 1003182502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ALICIA KIRKLAND-BRISCOE Owner/President 202-526-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DC DEN4726) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |