| NPI | 1457355786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON M CHAMBERS Administrator 410-572-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MD 11528) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |