| NPI | 1518028000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN GARDEN Owner 410-647-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 09892) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-12-08 |