| NPI | 1366621187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BRUCE LURIE President 410-828-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 3235) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |