| NPI | 1457359242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F. PRIOR Owner 301-862-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |