| NPI | 1518259068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASHA NYAMUPFUKUDZA Dentist 301-275-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054180) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |