| NPI | 1962199240 |
|---|---|
| Doing Business As | FREDERICK PERIO & IMPLANT |
| Entity Type | Organization |
| Authorized Contact | BEHNAZ YALDA Managing Dentist 301-698-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-01-19 |