| NPI | 1093012205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE T.M WEIR-GLADSTONE Owner 301-927-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11178) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-03-21 |