| NPI | 1629597547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS RAFAEL KINDRED Dentist/Owner 202-271-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DC DEN1001171) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |