| NPI | 1710485917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA MARIA CAMPOS VASQUEZ President 240-535-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401415043) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |