| NPI | 1649441494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T.P. SIVAKUMAR Pediatric Dentist 301-631-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 13749) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-07-01 |