| 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 |