| NPI | 1669605549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GOLDBAUM President 301-770-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 8093) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |