| NPI | 1912487695 |
|---|---|
| Doing Business As | GREEBBELTDENTALCARE |
| Entity Type | Organization |
| Authorized Contact | ADLY WILSON Dentist 301-345-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |