NPI | 1083823199 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISON EDWARD BYRNE President 410-583-7010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 6670) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |