| NPI | 1427115930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL INGEL Manager 410-766-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD MD11183) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |