| NPI | 1760633663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER N FORSHEY Owner/Surgeon 240-529-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MD 13760) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2015-09-18 |