| NPI | 1336849975 |
|---|---|
| Doing Business As | CLOVERLY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEHDI HASAN Principal 410-905-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |