| NPI | 1023219367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G RAY Doctor 410-494-4344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 6516) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-12-01 |