| NPI | 1174559298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J HEFFRON President 301-807-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MD 5594) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |