| NPI | 1942584131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGIA P JORIO Office Manager 202-554-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DC DEN1000360) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |