| NPI | 1457757213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAN RADPARVAR President 443-621-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14116) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |