NPI | 1174960215 |
---|---|
Doing Business As | DENTAL SERVICES OF FREDERICK |
Entity Type | Organization |
Authorized Contact | BRETT EVERETTE WEEDON Owner/President 301-807-9284 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |