| NPI | 1154369569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MENNITT Co President 301-924-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 9633) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-11-27 |