| NPI | 1962722298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KEATING President 301-937-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13476) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |