| NPI | 1508948316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN THOMSON BACON President Owner 301-791-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5839) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |