| NPI | 1235510819 |
|---|---|
| Doing Business As | WISTERIA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | HEMA K PATEL Dentist/Owner 301-515-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 15169) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |