| NPI | 1366740011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA A. GUMBS Owner/Dental Provider 301-588-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14268) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2022-09-20 |