| NPI | 1356581300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT MOLLINEDO President 301-355-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 14134) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2021-06-22 |