| NPI | 1740706324 |
|---|---|
| Doing Business As | CRESTWOOD COMPREHENSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID BRANDENBURG Dentist/Owner 301-797-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |