| NPI | 1225339328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO A. AVILA Orthodontist 301-684-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2013-11-05 |