| NPI | 1487953741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE JAMISON Manager 202-714-8433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN014034) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2013-01-22 |