| NPI | 1205831930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ADAM POMYKALA Partner 301-656-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 3539) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |