NPI | 1295895530 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL L MYERS President 410-355-4422 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11841) |
Enumeration Date | 2006-12-09 |
Last Update Date | 2020-08-22 |