| NPI | 1497136949 |
|---|---|
| Doing Business As | WEST BALTIMORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILSON ROBERTSON Dentist/Owner 410-566-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14842) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |