NPI | 1013133370 |
---|---|
Doing Business As | CHARTWELL DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | AZITA DAVANLOU Owner 410-799-7172 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 12454) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |