NPI | 1528253176 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILIA R KOTERWAS Vice President 410-392-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 6583) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2007-09-06 |