| NPI | 1508633371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI N NGUYEN Doctor 301-816-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-27 |