| NPI | 1386393940 |
|---|---|
| Other Name | PROSTHO. AESTHETIC AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANA KIM Dmd 301-366-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-07-06 |