| NPI | 1568895613 |
|---|---|
| Doing Business As | FENTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYIAH D GILL Office Manager 240-839-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14056) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |