NPI | 1619360765 |
---|---|
Entity Type | Organization |
Authorized Contact | ELENIR G BERNARDES Owner 301-881-5020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
Additional Taxonomies | 1223E0200X Dentist Endodontics |
1223G0001X Dentist General Practice | |
1223P0300X Dentist Periodontics | |
Enumeration Date | 2015-03-13 |
Last Update Date | 2015-03-13 |