| NPI | 1831492768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RAYMOND MCKANE Officer 301-829-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 09724) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |