| NPI | 1841209053 |
|---|---|
| Doing Business As | AMBER MEADOWS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS KRUMPOTICH Dentist President 301-663-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 8036) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |