| NPI | 1548661614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAYSE Owner/Director 301-567-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14139) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 14139) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14139) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |