| NPI | 1750688354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONAN JOHN FREYNE Owner/Dentist 301-986-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13813) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |