| NPI | 1235433582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C DUCKETT Dentist / Owner 410-780-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10368) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |