| NPI | 1871907741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S LEE President 301-537-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410980) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |