| NPI | 1972307676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WHEELER CEO 301-494-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2026-03-18 |