| NPI | 1518166248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISHA N SHROFF Dentist 301-469-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13054) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |