| NPI | 1962668293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD A MERLO Owner 202-223-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: DC DEN2822) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2020-05-20 |