| NPI | 1326159179 |
|---|---|
| Former Legal Business Name | MARYLAND ORAL SURGERY ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | GLENN A NATHAN President 301-340-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-08 |