| NPI | 1659770303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BOWEN Office Manager 301-582-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15650) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |