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 |