| NPI | 1760841860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN HONG Orthodontist/Owner 301-236-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD MD 7215) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MD MD 14419) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |