| NPI | 1386018372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEVY Sole Proprieter 301-785-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 3700) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2015-11-14 |