| NPI | 1295293553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY REZNIK Dentist Owner 410-879-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |