| NPI | 1609534866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAY Dentist/President 202-365-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |