| NPI | 1063553899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. NANCE Dentist 410-749-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11252) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 6385) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |