NPI | 1013089812 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL EDWARD STRATFORD President Owner Michael E Stratford 410-838-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 9084) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |