NPI | 1013024116 |
---|---|
Doing Business As | OUSBORNE & KELLER, D.D.S., P.A. |
Entity Type | Organization |
Authorized Contact | ALBERT LOUIS OUSBORNE President/Dentist 410-828-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 11305) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 3988) |
122300000X Dentist (Licence: MD 5771) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |