Organization
EJIRO ESI DDS PC
Active
Other names
esi orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJIRO ESI DDS (ORTHODONTIST)
(240) 245-0540
Entity
Organization
Contact information
Practice address
3915 NATIONAL DR, 150, BURTONSVILLE, MD 20866-1126
(240) 245-0540
Mailing address
2720 S ARLINGTON MILL DR UNIT 711, ARLINGTON, VA 22206-3409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13248
MD
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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