| NPI | 1376740365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MITCHERLING Oral Surgeon 410-323-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 4702) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |