NPI | 1790169167 |
---|---|
Doing Business As | WADE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HILLARY SMITH WADE Dentist/Owner 301-739-4114 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 14475) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |