| NPI | 1316694482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN THOMAS LANG Owner 410-821-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |