| NPI | 1649729724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE NOELLE JOHNSON President 202-368-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13981) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |