| NPI | 1154428852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN NMN HANENBAUM Partner 301-439-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 4029) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2008-08-05 |