| NPI | 1619008620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MFON ETESIN UMOREN President 301-439-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10066) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2026-02-13 |