| NPI | 1134258619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SERINO President 410-822-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 11450) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |