| NPI | 1174026934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN FOSTER-JORDAN Owner 202-538-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 15002) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |