| NPI | 1942573860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MERLO Owner 301-468-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 11822) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |