| NPI | 1932293586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALAN HEFFNER Dentist 301-645-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 4324) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |