| NPI | 1760995757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE B THORPE Office Manager 301-972-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 12894) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |