| NPI | 1487998134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRY MARC DUBIN Dentist/Owner 301-977-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 8457) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |