| NPI | 1851646798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G. JOHNSON Pediatric Dentist 301-699-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12800) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |