| NPI | 1447305719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KILE MCGLOTHLIN Vice President 410-273-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 9975) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |