| NPI | 1952312209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD JEROME POLLACK President Owner 301-694-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 3810) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |