| NPI | 1487950929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEYWARD BURRELL President/CEO 202-396-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2201) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |