| NPI | 1902698061 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | EDEN WOLDESENTBET AYANO General Dentist 240-415-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |