| NPI | 1992197305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZWAN AHMAD Owner 301-777-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 14393) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 12387) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |