| NPI | 1679890834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE UYEUNTEN Practice Manager 202-364-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2022-07-19 |