| NPI | 1669007993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE MESSENGER Hr/Billing Manager 301-631-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |