| NPI | 1356407225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM DEVEAS Owner Dentist 410-825-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11026) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-08-02 |