| NPI | 1932372620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE MARIE WILSON-WALTERS Owner Dentist 301-306-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 10597) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-06-18 |