| NPI | 1366518599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI MORGAN Office Manager 410-228-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 7519) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |