| NPI | 1275812729 |
|---|---|
| Doing Business As | WATER BROOK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARLENE SAINT-PHARD SHAW Owner 202-726-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC den1000381) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |