NPI | 1316021355 |
---|---|
Doing Business As | ORAL PATHOLOGY CONSULTANTS |
Entity Type | Organization |
Authorized Contact | JOHN BASILE Director 410-706-7936 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 182) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 4626) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2017-02-06 |