| NPI | 1871838029 |
|---|---|
| Doing Business As | MADISON DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARLOS RODQUAE BOSTON Owner 202-491-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25589) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |