| NPI | 1598729402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAPAZ UGARTE SMITH Dental Officer 301-295-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS029465L) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |