| NPI | 1346415882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN PETERSEN Operations Manager 301-340-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 12859) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-06-25 |