| NPI | 1013212505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A SIMASNKI Secretary 410-857-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 10404) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |