| NPI | 1215998562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE YUEN KWONG Orthodontist 410-321-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 12108) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-04-29 |