| NPI | 1184742413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS TEMPLE Office Administrator 410-252-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10102) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |