NPI | 1164149027 |
---|---|
Doing Business As | ST. MARY'S DENTAL |
Entity Type | Organization |
Authorized Contact | KARA MARIE MCCRAY DEMER Co Owner Dentist 410-610-4922 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |