| NPI | 1396167391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOFTERS Owner 202-422-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN012798) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |