| NPI | 1801042882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN D LOCKLEAR President & CEO 202-829-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC 5399) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG1000355) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |