| NPI | 1982146544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H CHAPPELLE Owner/Doctor/President 301-390-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 07676) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |