| NPI | 1932840220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE PATREACE CLARKE Pediatric Dentist/Owner 301-537-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2022-04-02 |