| NPI | 1992087993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMAL BOGOLLAGAMA President 202-491-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410789) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |