| NPI | 1033531280 |
|---|---|
| Former Legal Business Name | MARYLAND ORAL SURGERY ASSOCIATES CROFTON, LLC |
| Entity Type | Organization |
| Authorized Contact | GLENN A. NATHAN President 301-340-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 12859) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2023-08-08 |