NPI | 1356300974 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIENNE E SMITH Business Manager 301-797-8987 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 05240) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-08-22 |