| NPI | 1366804627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS STILES Owner 301-947-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 9332) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-07-20 |