| NPI | 1396903704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLYN ROXANNA ROBINSON-KELLUM Owner 410-433-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 10848) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |