| NPI | 1740335793 |
|---|---|
| Other Name | BETHESDA TEMPOROMANDIBULAR TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | FAITH K ANDERSON Office Manager 301-897-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MD 3481) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: 12115) |
| 1223P0300X Dentist, Periodontics (Licence: MD 4590) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MD 7317) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MD 12705) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |