| NPI | 1245314822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI CHAND GANESH Dentist Owner 301-927-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 7424) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-10-06 |