| NPI | 1174064133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MANTONI President 301-587-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 6702) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |