| NPI | 1679032619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAREETA R GUPTA Owner 202-244-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |