NPI | 1093571846 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVA WRIGHT Owner 410-913-1077 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |