| NPI | 1770621302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CAMPBELL-LEACH President 301-265-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 09622) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2020-08-22 |