| NPI | 1538623954 |
|---|---|
| Doing Business As | CRESTWOOD COMPREHENSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KAREN ROBINSON Dental Administrator 301-797-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |