| NPI | 1629038294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BAIN PRATHER Doctor Dentist President Of Corpora 301-797-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD MD7900) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-12-17 |