| NPI | 1487033585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R MILLER President 410-760-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5664) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |