| NPI | 1689966848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELTON R PENN Dentist 202-547-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN3483) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |