| NPI | 1093442766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA KIM Endodontist 301-366-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 1223E0200X Dentist, Endodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2026-06-02 |