| NPI | 1275314114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WHEELER Business Manager 301-494-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0004X Dentist Dentist Anesthesiologist |
| 1223G0001X Dentist General Practice | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 207L00000X Anesthesiology | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-04-08 |