| NPI | 1063955631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EVERARD WARNER Owner/Dentist 301-357-0071 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 12139) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |