| NPI | 1508139361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MALOOF Dentist/Owner 410-761-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 3928) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2013-01-16 |