| NPI | 1124126537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PATRICIO DELGADO President 410-747-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 8801) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 5889) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-09 |