| NPI | 1851491161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE IAN MILZMAN Dentist 202-244-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN5422) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 10582) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |