| NPI | 1285307231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT ROSS Orthodontist 443-901-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-29 |