| NPI | 1033190442 |
|---|---|
| Doing Business As | JHU - DENTAL/ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Sr Production Unit Mgr 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2022-07-21 |