| NPI | 1184807059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON PIER RIDDLE-FLETCHER President 410-298-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11442) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |