| NPI | 1124610126 |
|---|---|
| Doing Business As | FENTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYIAH D GILL Human Resources 240-634-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |