| NPI | 1831102227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOORITA DEVI GOORAH Dentist 301-460-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11536) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN5681) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |