NPI | 1760887970 |
---|---|
Entity Type | Organization |
Authorized Contact | KESNEL DUFRESNE Owner 240-764-5510 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 09236) |
Enumeration Date | 2014-10-30 |
Last Update Date | 2023-03-07 |