| NPI | 1104516194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WHEELER CEO 301-494-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 207L00000X Anesthesiology | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-04-05 |