| NPI | 1306990411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE ALDOUS ANGLIN Dentist/Owner 410-654-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 13165) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 12908) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-11-12 |