| NPI | 1386152320 |
|---|---|
| Doing Business As | COLUMBIA ADVANCED DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE Owner 410-461-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |