| NPI | 1184952996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD KRAUSE President/Owner 410-742-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 5002) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |