| NPI | 1184703803 |
|---|---|
| Former Legal Business Name | DAVID J COOPER MICHAEL W OWENS HAE SOOK KIM |
| Entity Type | Organization |
| Authorized Contact | CONNIE M MCCABE Financial Admin 301-862-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD MD6466) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD MD13051) |
| 1223G0001X Dentist, General Practice (Licence: MD MD13931) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-07-01 |