| NPI | 1497040489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONGELA LATARSHA WILLIAMS Dentist 301-868-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13680) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |