| NPI | 1780059220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E RICE Office Adminstrator 301-695-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 6439) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |