NPI | 1023001641 |
---|---|
Former Legal Business Name | LEONARD SPECTOR, DDS AND BERNARD IAN KRUPP, DDS, PA |
Entity Type | Organization |
Authorized Contact | BERNARD IAN KRUPP Oms/Owner 410-583-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2005-08-30 |
Last Update Date | 2022-07-06 |