| NPI | 1811427677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS WILLIAMS Administrator 240-348-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15806) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |