NPI | 1811280472 |
---|---|
Doing Business As | SOME DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | RALPH BOYD President/CEO 202-797-8806 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1000602) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2011-05-16 |
Last Update Date | 2020-08-13 |