| NPI | 1740722339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE LOAR Office Coordinator 301-856-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 11360) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |