| NPI | 1316328586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE C WANG President 410-630-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 15419) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |