| NPI | 1427363589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E SELNICK Owner 410-740-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 8760) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2022-06-27 |