| NPI | 1548733710 |
|---|---|
| Doing Business As | COLLEGE PARK DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | YULIYA KUPCHENKO Manager 301-474-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-11 |