| NPI | 1053755900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHO Owner 443-676-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14477) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 13401) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |