| NPI | 1992138697 |
|---|---|
| Other Name | SUPERTOOTH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BEN MANESH Owner / Operator 301-986-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 124Q00000X Dental Hygienist | |
| 1223P0300X Dentist, Periodontics | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |