| NPI | 1437711983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOEFFLER Office Manager 410-744-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |