| 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 |