| NPI | 1396330049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER GIBBS Practice Manager 301-249-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |