| NPI | 1366751844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE S SIEWE President 301-460-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13464) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |