| NPI | 1255817730 |
|---|---|
| Former Legal Business Name | GREATER MARYLAND DENTAL PARTNERS |
| Entity Type | Organization |
| Authorized Contact | JAIME BYERLY Director, Operations 202-699-1027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401007478) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 401410040) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |