| NPI | 1740606094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES WATSON Owner 301-963-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 9356) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 11874) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-18 |