| 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 |