| NPI | 1801218524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAFFORD GARFIELD CONLEY Owner 301-218-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14231) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |