| NPI | 1518830454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM CHELLAPPAN President & CEO 301-367-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |