| NPI | 1598106056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HASLUP Office Manager 301-662-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14635) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |