NPI | 1841362365 |
---|---|
Entity Type | Organization |
Authorized Contact | FAITH A COUSINS Dentist 301-589-2714 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 09297) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2014-02-18 |