| NPI | 1619065935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LORE EARLY President 301-530-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 3896) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 4066) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |