| NPI | 1043584386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY NAZIM RIZBERG Dentist/Owner 240-506-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13707) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |