| NPI | 1477686574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SUN President 301-921-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8586) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 12639) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |