| NPI | 1174005664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELIZABETH IZQUIERDO Director Of Clinical Operations 240-262-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-10-17 |