| NPI | 1821417700 |
|---|---|
| Doing Business As | VIBRANT SMILES OF WALDORF |
| Entity Type | Organization |
| Authorized Contact | JULIAN R KING Administrator 301-645-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |