| NPI | 1174688196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD STEPHEN KOGOD Orthodontist President 301-983-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 9656) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |