NPI | 1083812150 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY HOWARD KLEIN President 410-435-2350 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 4175) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2015-01-13 |