| NPI | 1043694623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'AUDRA COLE Dentist/Owner 301-202-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14079) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |