| NPI | 1376892018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD JAY GOLDMAN President 301-622-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MD 8392) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |