| NPI | 1407629173 |
|---|---|
| Doing Business As | AVALON DENTAL CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | MOFOLUSARA O OGUNFUSIKA Dentist 301-599-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |