| NPI | 1164634234 |
|---|---|
| Former Legal Business Name | N.O.W. DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AUDRA A BROWN Office Manager 410-535-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 12630) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 11553) |
| 1223G0001X Dentist General Practice (Licence: MD 11869) | |
| 1223G0001X Dentist General Practice (Licence: MD 8583) | |
| 1223G0001X Dentist General Practice (Licence: MD 12676) | |
| 1223P0300X Dentist Periodontics (Licence: MD 12518) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |