| NPI | 1164130027 |
|---|---|
| Former Legal Business Name | GREATER ANNAPOLIS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GENA FRIES SCHULTHEIS Owner 410-905-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |