| NPI | 1457965238 |
|---|---|
| Former Legal Business Name | SHALOM DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADENIKE OLAYINKA GBENLE Dentist/Owner 301-254-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-11 |