NPI | 1235206244 |
---|---|
Entity Type | Organization |
Authorized Contact | GARNER D MORGAN Owner 301-884-8133 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 7590) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 7353) |
1223G0001X Dentist General Practice (Licence: MD 9616) | |
1223G0001X Dentist General Practice (Licence: MD 13304) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |