| NPI | 1164843785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A MORRIS President/Owner 301-299-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12717) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |