NPI | 1912295874 |
---|---|
Entity Type | Organization |
Authorized Contact | WAI LAM Orthodontist 301-963-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12741) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2011-07-13 |