| NPI | 1821494238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALBERTO LANZA Owner/President 301-654-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 14205) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |