NPI | 1376820654 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA SEVILLA GUEVARA President 410-672-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12374) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2011-11-14 |