| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | Oral and Maxillofacial Radiology |
| Definition of Specialization: | |
| Address: |
2021 K St Nw Suite 200 Washington, DC 20006-1003 |
| Phone: | (202) 293-9729 |
| Fax: | (703) 413-0554 |
| Gender: | Male |
