| NPI | 1457778037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-DANIEL BRUTUS Dentist/Owner 443-736-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 13673) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |