| NPI | 1184366866 |
|---|---|
| Other Name | PROFESSIONAL DENTAL ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | IRIS SHIELDS Owner/Dentist 410-638-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-10-03 |