| NPI | 1740321256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S WIREDU Dentist 301-220-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11609) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |