| NPI | 1609279843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL Y LEE Owner/Dentist 202-832-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC 4370) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC 4370) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2017-03-16 |