| NPI | 1154551737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CAMPBELL-LEACH Owner 240-606-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD MD09266) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |