| NPI | 1962780916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-DANIEL BRUTUS Owner/Dentist 301-262-1112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13673) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |