| NPI | 1043362478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA HARRIS MCKEE Dental Administrator 301-620-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 4152) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |