| NPI | 1629451430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA EXELBERT RUBIN Owner 202-545-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000864) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-07-08 |