| NPI | 1467514067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN GARDEN Owner 410-721-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 09892) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |