| NPI | 1649676503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD A MERLO Proprietor 301-468-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MD 11822) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |