| NPI | 1942364161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI JACHENS Office Manager 301-990-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11155) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |