| NPI | 1821693300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RYAN Oral Surgeon/Owner 301-916-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-07 |