| NPI | 1457652596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE C WILLIAMS Practice Administrator 202-635-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN4727) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |