| NPI | 1972955656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONTESH SHIVAKUMAR TAWADY Endodontist 301-992-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 15727) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2018-08-17 |