| NPI | 1467625350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M. HRECHKA Orthodontist 301-839-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 6952) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 5339) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7341) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |