NPI | 1407184104 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN ALAN WEINER President 410-764-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 4658) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 08698) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-11-18 |