| NPI | 1114344843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN KWATRA President/Owner 240-780-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-10-06 |