| NPI | 1194088955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PASSARELLO President 410-549-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 9139) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |