| NPI | 1316241292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL W. FESCHE Partner 410-876-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5382) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |