NPI | 1417226069 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ANNE JENKINS Orthodontist/President 301-777-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 9837) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 3102) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2011-12-27 |