| NPI | 1770973091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA P. URBAN Vice President/Owner Dentist 301-869-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 10446) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |