| NPI | 1932338142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN ISAAC SEIDMAN Owner 301-797-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8503) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14048) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-11-15 |