| NPI | 1669610515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G RAY Doctor 301-228-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 6516) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |