NPI | 1255817730 |
---|---|
Former Legal Business Name | GREATER MARYLAND DENTAL PARTNERS |
Entity Type | Organization |
Authorized Contact | JAIME BYERLY Director, Operations 202-699-1027 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401007478) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 401410040) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2018-07-17 |