| NPI | 1255631370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL LEE PRICHARD Dental Receptionist 301-682-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 9898) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |