| NPI | 1841648292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAMB Doctor/Owner 202-854-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN4260) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |