| NPI | 1760654784 |
|---|---|
| Other Name | ORAL PATHOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | DI SUN Director 301-869-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MD 11508) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 11508) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: DC 5326) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-04-03 |