Organization
EJIRO ESI DDS PC
Active
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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