NPI | 1972982320 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER KWON Owner/Dentist 301-657-9116 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13018) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |