| NPI | 1457784670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ETZKORN Owner/Dentist 443-244-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15147) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |