NPI | 1376065193 |
---|---|
Doing Business As | SEVERN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SOE T MON Co Owner 410-995-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |