| NPI | 1558683086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHEE BERRY Doctor 301-333-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |