| NPI | 1538850771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLLIE B BURKE ELLIOTT SR Chief Executive Officer 301-325-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |