| NPI | 1518575414 |
|---|---|
| Other Name | COSMETIC AND IMPLANT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE Owner 301-948-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |