| NPI | 1063801926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. TERRY SWEENEY Authorized Official/Partner 301-926-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 5582) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |