| NPI | 1447952288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE ADAMS Director Of Human Resources 443-703-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |