| NPI | 1346382892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F MENTON Dentist 410-740-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 10462) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-19 |