| NPI | 1861801805 |
|---|---|
| Doing Business As | ORAL SURGERY DC |
| Entity Type | Organization |
| Authorized Contact | MADALYN PELT Insruance Specialist 301-341-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |