| NPI | 1205150935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY S NOKKEO President 301-926-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 13271) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2015-02-25 |