NPI | 1992916092 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD KOYOMJI President 301-654-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12381) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |