| NPI | 1295568913 |
|---|---|
| Doing Business As | PERIO1 LLC |
| Other Name | GERARD BOQUEL DDS |
| Entity Type | Organization |
| Authorized Contact | GERARD BOQUEL Owner 301-869-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |