| NPI | 1942545215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJIRO ESI Orthodontist 240-245-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 13248) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |