| NPI | 1346511219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN FOY Office Manager 410-266-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 6262) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |