NPI | 1588010169 |
---|---|
Entity Type | Organization |
Authorized Contact | MOOREAN BAKER Owner/Dentist 202-547-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN3930) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2016-05-12 |