| NPI | 1265638951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MCLELLAN CEO 410-354-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 338004100) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-04-11 |