| NPI | 1598930729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JEAN HAYNES Orthodontist 301-220-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 10904) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |