| NPI | 1265731202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY RONALD BERMAN President 410-363-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MD 4790) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |