NPI | 1396741971 |
---|---|
Former Legal Business Name | DBA: CLINTON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SAM HAMAM President 301-868-0777 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2005-06-28 |
Last Update Date | 2019-02-27 |