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 |