| NPI | 1487047742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE FOSTER OWENS Owner 410-256-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 09528) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |