| NPI | 1033490263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS THOMOPULOS Owner 301-733-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |