NPI | 1245373349 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANNE WHITIFIELD-LOCKE D.D.S. 301-420-1464 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC 4518) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD MD9229) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-12-17 |