| NPI | 1144744657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED PATRICK SMITHWICK Owner 443-756-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CO 00201825) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |