| NPI | 1164005419 |
|---|---|
| Doing Business As | BETHESDA DENTAL SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LY Manager 301-654-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-06-15 |