| NPI | 1154464998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN PETERSON Corporate President 301-754-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 8004) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |