NPI | 1023708013 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY WHEELER CEO 301-494-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
1223G0001X Dentist, General Practice | |
1223P0221X Dentist, Pediatric Dentistry | |
207L00000X Anesthesiology | |
207LP3000X Anesthesiology, Pediatric Anesthesiology | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2023-05-11 |
Last Update Date | 2024-04-08 |