| NPI | 1205013554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANKARI KUMARACHANDRAN President 410-737-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 11814) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-11-13 |