| NPI | 1487687281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD J DORMER Dr Dormer Employer 410-749-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD MD05156) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |