| NPI | 1508078007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARINE GREEN HIGHTOWER Owner 202-251-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13170) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |