| NPI | 1578701231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIA JENEE ROGERS President/CEO/Prinicpal 202-756-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN1000590) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-04 |