| NPI | 1497125322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C KRAUSE President 410-742-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14026) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |