NPI | 1699166413 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN BYUNG CHANG President 240-485-7538 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 13440) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |