| NPI | 1316249758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE SAUNDERS Secretary 202-397-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2111) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |