| NPI | 1407121163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE SOGA Dentist/ Owner 202-783-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN4889) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001040) |
| 1223P0300X Dentist, Periodontics (Licence: DC DEN3951) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |