| NPI | 1700018702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC O. ADEDARA General Dentist 301-588-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 10838) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |