| NPI | 1629358460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY U ACHIKEH President 301-585-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11956) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7058) |
| 124Q00000X Dental Hygienist (Licence: MD 6265) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |