| NPI | 1649560590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA UGO BEHRAM Pediatric Dentist 240-645-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 026115) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-05-12 |