| NPI | 1457533325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL CROUSE Owner/Orthodontist 410-749-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 8944) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |