| NPI | 1104053545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHILO N OBIANWU Dmd 301-702-4080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 13826) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2025-02-03 |