| NPI | 1144423443 |
|---|---|
| Doing Business As | FALLSGROVE CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SAMUEL STERN President 301-610-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |