| NPI | 1518369529 |
|---|---|
| Former Legal Business Name | BARKSDALE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL JON BENT President 443-756-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001205) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |