| NPI | 1316998933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON ROBERT DISCAVAGE Dentist 301-871-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 4673) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-09-11 |