| NPI | 1114015468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE A. SAMBATARO Director 410-964-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 07296) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-11-24 |