| NPI | 1205973641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE ERICKSON Owner 301-774-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7215) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-04-14 |