NPI | 1912272295 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRON BYRD Dentist 240-379-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5893) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 4508) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |