| NPI | 1013583392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHUOXUN CHEN Owner 443-603-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist Endodontics | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |