| NPI | 1003083833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E MAZIKAS President 410-823-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 4051) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |