| NPI | 1275727034 |
|---|---|
| Doing Business As | TLC MODERN DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | LARRY NICHOLAS CALLAHAN Practice Manager 240-888-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-06-20 |