| NPI | 1104909449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FRANCIS MEILLER Executive Director 410-706-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 5034) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-11-27 |