| NPI | 1487061586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARK HORNER Dentist/Owner 410-902-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 10015) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |