| NPI | 1427151398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY MARTIN BECKER President/Owner 410-730-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 9494) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-06-30 |