| NPI | 1861669236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY S NOUMBISSI Owner 301-317-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12911) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |