| NPI | 1053684654 | 
|---|---|
| Doing Business As | HU COLLEGE OF DENTISTRY FACULTY PRACTICE PLAN | 
| Entity Type | Organization | 
| Authorized Contact | CANDACE E MITCHELL Clinic Director 202-806-0367 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DC 3906) | 
| Enumeration Date | 2012-02-14 | 
| Last Update Date | 2012-02-14 |