| NPI | 1578850467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD U. MATTSON President 301-924-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7442) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |