| NPI | 1184051278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARC SIEGEL President 410-451-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7333) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |