| NPI | 1649308008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RONALD BISHOP President 301-608-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11801) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |