| NPI | 1780067074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY LEWIS MITCHELL President 301-399-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 4701) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2015-07-04 |