NPI | 1275750754 |
---|---|
Entity Type | Organization |
Authorized Contact | RUBEENA HOSAIN President 410-321-5960 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 13117) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 220102192500) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-07-16 |