| NPI | 1962849257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P WAREHAM President 240-682-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN18586) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |