| NPI | 1881764330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D TESTEN President 301-540-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 11748) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |