NPI | 1265513808 |
---|---|
Entity Type | Organization |
Authorized Contact | SYDNEY B SOWELL Dentist 301-627-6686 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD MD06969) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |