| NPI | 1649489352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY REDDY Vice President 301-843-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 12834) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |