| NPI | 1821301599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONZO L DAVIDSON Oral Maxillofacial Surgeon 301-322-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 5342) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |