NPI | 1902584576 |
---|---|
Doing Business As | POTOMAC WOODS GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRADLY A GREEN Owner 301-279-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-07-05 |