NPI | 1730435348 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN GOTORA Deo 301-853-1567 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14124) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14892) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2012-08-01 |