NPI | 1043542988 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMENICK COLETTI Vice President 410-997-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MD D0060424) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |