| NPI | 1639293228 |
|---|---|
| Other Name | ACHD-DENTAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SUE RAVER Health Officer 301-759-5001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-08-06 |