| NPI | 1073735486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD GAUTHIER Dentist 301-698-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 7909) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |