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 |