| 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 |