| NPI | 1124509518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONTESH SHIVAKUMAR TAWADY Dentist/Endodontist 410-836-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 15727) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |