| 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 |