| NPI | 1891136388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLIN S HENRY Owner 202-296-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN1000038) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |