| NPI | 1568797413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA REID President 202-659-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411050) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412525) |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |