| NPI | 1851482806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS REILLY MARKIN Practice Administrator 301-776-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 04209) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |