| NPI | 1114453610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIDANEMARIAM ROZARIO Practice Manager 202-248-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1001643) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |