| NPI | 1760506653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C. HERLSON President 301-530-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 4946) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |