NPI | 1407960420 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER MARTIN STEIN President Of Corporation 202-659-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: DC 3255) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2020-08-22 |