| NPI | 1639224181 |
|---|---|
| Doing Business As | COLESVILLE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RALPH GREGORY HYSONG President 301-384-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8350) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 07504) |
| 122300000X Dentist (Licence: MD 8350) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-07-15 |