NPI | 1710366398 |
---|---|
Entity Type | Organization |
Authorized Contact | ROCHELLE ELISE HACKLEY CEO/Owner 301-816-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11804) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2015-05-28 |