| NPI | 1033591904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA BAILEY Dentist 301-782-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 10344) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 10344) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |