| NPI | 1265733059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE YOU President 301-770-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13904) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |