| NPI | 1427484039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERIN SOLANO Office Manager 410-685-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11652) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |