NPI | 1356476394 |
---|---|
Doing Business As | RANDOLPH ENDODONTICS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MAURICE NELSON GUNRAJ Owner 301-384-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 6922) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12459) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |