| NPI | 1255721163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. TERRY SWEENEY Partner/Owner 301-926-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 5582) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 10885) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 13573) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |