| NPI | 1871994806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C SHIN Owner 301-770-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 13685) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-02-20 |