NPI | 1184766370 |
---|---|
Entity Type | Organization |
Authorized Contact | VENICE KAREN PATERAKIS President 410-385-9966 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 07526) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |