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 |