| NPI | 1508295213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GIDEY Dentist 202-558-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1000970) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2013-11-03 |