| NPI | 1245905272 |
|---|---|
| Doing Business As | DEPARTMENT OF HEALTH DENTAL, LIBERTY |
| Entity Type | Organization |
| Authorized Contact | TONIA ROSS Billing Manager 410-887-0684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-07-08 |