| NPI | 1609291533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA STEPHENSON Dds/Owner 301-651-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401413943) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |