| NPI | 1164136149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE EBUNOLUWA APATA Pediatric Dentist/Owner 410-774-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-09-11 |