| NPI | 1902128002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO ANTONIO FIGUEREDO Dentist/Owner 301-754-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11877) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |