| NPI | 1386001006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SOBOL Owner 410-374-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13189) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |