| NPI | 1801933890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD WATTS Dentist 301-780-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10250) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-06-03 |