| NPI | 1245716232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMOPULOS Owner/ Dentist 301-620-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |