| NPI | 1194265058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KRUSZEWSKI Member/Practice Owner 301-651-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN21302) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-06-11 |