| NPI | 1013082437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYMAN JAY GROSBERG Pres. 301-384-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 07660) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-01-17 |