| NPI | 1891150744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT OAKES President 301-668-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD 14295) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |