| NPI | 1114094398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MANSMAN Owner 301-668-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14165) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-01-05 |