| NPI | 1245251461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M STANLEY Admin 410-730-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 04869) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |