NPI | 1477881290 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMENICK COLETTI President 410-997-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MD D0060424) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2009-12-07 |