| NPI | 1073330726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA CALLAHAN Owner/Orthodontist 301-857-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |