| 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 |