| NPI | 1083986509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S. STOKER President Of The Corporation 410-312-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 09046) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |